ShareHouse Client Satisfaction Survey

If you have received treatment services at ShareHouse and have not yet completed a survey, we would like your feedback on your experience. Please answer the following questions to help us grow as an organization and to continue to provide quality services. All responses are anonymous.

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1.The most beneficial part of my treatment experience was:

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2.The least helpful part of my treatment experience was:

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3.Any suggestions for improvement?

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4.I understood my rights and financial obligations as a participant in the program.

Agree

Neither agree nor disagree

Disagree

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5.I participated in developing my treatment goals.

Agree

Neither agree nor disagree

Disagree

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6.How prepared do you feel to be successful in obtaining the goals that brought you to ShareHouse? (1 being the least successful and 10 being the most successful)

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7.My care and concerns were handled professionally and confidentially.

Agree

Neither agree nor disagree

Disagree

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8.Rate your overall experience with the services you received: (1 being the least satisfied and 10 being the most satisfied)

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9.Additional comments:

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10.Types of service I received:

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11.Primary staff I worked with:

Thank you for completing this survey.

This survey is anonymous. If you would like to be contacted to further share your feedback, please follow this link to enter your contact information- My Contact Information